| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,549.32 | $4,387.00 | $9,078.00 | |
Regence BlueShield
| Facility | $7,727.05 | $9,636.15 | $13,834.07 | |
Regence BlueShield
| Facility | 50 | $11,590.58 | $14,454.23 | $20,751.11 |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |